Abstract:
BACKGROUND:While continuous positive airway pressure (CPAP) effectively treats obstructive sleep apnea (OSA), adherence to CPAP is suboptimal. The short-term efficacy of and adherence with a convenient expiratory positive airway pressure (EPAP) nasal device was evaluated in OSA patients non-adherent with CPAP. METHODS:Participants were OSA patients who refused CPAP or used CPAP less than 3 h per night. After demonstrating tolerability to the EPAP device during approximately 1 week of home use, patients underwent a screening/baseline polysomnogram (PSG1) and a treatment PSG (PSG2). Patients meeting prespecified efficacy criteria underwent PSG3 after about 5 weeks of EPAP treatment. RESULTS:Forty-seven of 59 eligible patients (80%) tolerated the device and underwent PSG1. Forty-three patients (27 m, 16f; 53.7±10.9 years) met AHI entry criteria and underwent PSG2. Mean AHI decreased from 43.3±29.0 at baseline to 27.0±26.7 (p<0.001) at PSG2. Twenty-four patients (56%) met efficacy criteria; their mean AHI was 31.9±19.8, 11.0±7.9, 16.4±12.2 at PSG1, PSG2, and PSG3, respectively (p<0.001, PSG1 vs. both PSG2 and PSG3). Mean Epworth Sleepiness Scale (ESS) scores were 12.3±4.8 at baseline, 11.1±5.1 at PSG1, and 8.7±4.4 at PSG3 (p=0.001 compared to baseline). Device use was reported an average of 92% of all sleep hours. CONCLUSIONS:The improvements in AHI and ESS, combined with the high degree of treatment adherence observed, suggest that the convenient EPAP device tested may become a useful therapeutic option for OSA.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Walsh JK,Griffin KS,Forst EH,Ahmed HH,Eisenstein RD,Curry DT,Hall-Porter JM,Schweitzer PKdoi
10.1016/j.sleep.2010.06.011subject
Has Abstractpub_date
2011-02-01 00:00:00pages
147-52issue
2eissn
1389-9457issn
1878-5506pii
S1389-9457(10)00414-4journal_volume
12pub_type
临床试验,杂志文章相关文献
SLEEP MEDICINE文献大全abstract:OBJECTIVES:To evaluate the efficacy and safety profile of gaboxadol, a selective extrasynaptic GABA(A) agonist (SEGA) previously in development for the treatment of insomnia. METHODS:This was a randomised, double-blind, placebo-controlled, parallel-group, 2-week, Phase III study of gaboxadol 5, 10 and 15mg in outpatie...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2008.09.010
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To explore the gender differences of brain regional homogeneity (ReHo) in healthy subjects during the resting-state, after normal sleep, and after sleep deprivation (SD) using functional magnetic resonance imaging (fMRI) and the ReHo method. METHODS:Sixteen healthy subjects (eight males and eight females) ea...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2011.09.019
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:During the outbreak of the COVID-19 pandemic in 2020, high schools closed or transitioned to remote teaching. The aim of this study was to describe how the COVID-19 related school shutdown impacted the sleep behaviors of typically developing adolescents. METHODS:A qualitative study was conducted between Apri...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.09.015
更新日期:2020-12-01 00:00:00
abstract::Obstructive sleep apnea syndrome (OSA) is a common respiratory sleep disorder in children that is believed to adversely affect both quality of life and cognition. The purpose of the present systematic review was to obtain evidence of the impact of OSA on children's cognitive/behavioral abilities from primary studies p...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.12.020
更新日期:2018-06-01 00:00:00
abstract:STUDY OBJECTIVE:We analyzed archival data from an epidemiology study to test the association between vitamin use and sleep. DESIGN:Random digit dialing was used to recruit 772 people ranging in age from 20 to 98 for a study of people's sleep experience. These individuals completed a set of questionnaires about their s...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2006.12.009
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to prospectively examine all patients with a diagnosis of RLS consulting a sleep disorders clinic and to assess RLS severity and augmentation and their associations, including ferritin levels. METHODS:Patients were stratified into patients with RLS as ancillary diagnosis, RLS suffer...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2008.09.007
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:To describe the treatment response with melatonin for rapid eye movement (REM) sleep behavior disorder (RBD) associated with other neurologic disorders. BACKGROUND:Clonazepam has been considered the treatment of choice for RBD. However, an alternative treatment is desirable for those with RBD refractory to c...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/s1389-9457(03)00072-8
更新日期:2003-07-01 00:00:00
abstract:STUDY OBJECTIVES:Many healthcare workers live with sleep disorders and may be unaware of their condition. We aimed to ascertain sleep disorder symptoms including high-risk obstructive sleep apnea (hrOSA), significant insomnia, and excessive daytime sleepiness (EDS) by work shift in a sample of healthcare workers. We ai...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.07.028
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:Restless legs syndrome (RLS) seems to improve immediately after a single dose of dopamine-agonists (DA). The aim of the present study was to investigate the acute effects of a low standard dose of pramipexole in RLS drug-naïve patients. METHODS:A single-blind placebo-controlled study in 32 consecutive idiopa...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2006.10.008
更新日期:2007-08-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to evaluate if there is a significant effect of lunar phases on subjective and objective sleep variables in the general population. METHODS:A total of 2125 individuals (51.2% women, age 58.8 ± 11.2 years) participating in a population-based cohort study underwent a complete polys...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.08.002
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND/OBJECTIVE:Restless legs syndrome (RLS) is a neurological disorder with a strong genetic susceptibility. A painful RLS sub-phenotype has been described previously but the neurobiological basis for this phenotypic variant remains unknown. This study investigated whether any of the six initially discovered geno...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.07.003
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Sleep disturbances are frequently reported in Mowat-Wilson Syndrome (MWS). The current study aimed to evaluate clinical and video-polysomnographic (VPSG) characteristics of the sleep architecture and abnormal electroencephalogram (EEG) patterns during sleep in MWS. METHODS:Sixteen individuals with MWS (range...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.04.011
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Habitually snoring children are at risk of manifesting disease-related problems even if their sleep studies are overall within normal limits. STUDY OBJECTIVES:To compare sleep spindle activity in children with primary snoring and healthy controls. METHODS:Sleep spindle activity including analysis of fast a...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.10.001
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to explore the effects of a 24-week Tai Ji Quan training program on sleep quality, quality of life, and physical performance among elderly Chinese women with knee osteoarthritis (OA). METHODS:A 24-week randomized, controlled trial of 46 elderly women with knee OA. Participants w...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2016.12.024
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Morning headaches are often ascribed to patients with sleep apnea syndrome (SAS) but the etiology of headaches in SAS is unclear. Given the relationship between oxygen and other headache syndromes, nocturnal hypoxia might be one factor contributing to headaches in SAS. METHODS:All subjects 18-80 years of ag...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/s1389-9457(02)00006-0
更新日期:2002-07-01 00:00:00
abstract:INTRODUCTION:Obstructive sleep apnea (OSA) was associated with increased incidence of all cancers. We aimed to determine the risk for primary central nervous system (CNS) cancers in patients with sleep apnea syndrome. METHODS:A total of 23,055 incident cases of newly diagnosed sleep apnea syndrome (sleep apnea group) ...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2013.11.782
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:The purpose of our study was to evaluate and compare two methods of service delivery (web-based and telehealth-based) for chronic insomnia with regard to patient preference, clinical effectiveness, and patient satisfaction. METHODS:Our study was a randomized controlled trial with manualized telehealth- and ...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2013.10.013
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:Restless legs syndrome (RLS) is a common neurological disorder but it is not sufficiently recognized in children and adolescents. It often overlaps with growing pains in children, and as a result the clinical characteristics of pediatric RLS are not well studied, especially in Asia. The purpose of this study...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.12.016
更新日期:2020-05-01 00:00:00
abstract::Rapid eye movement (REM) sleep behavior disorder (RBD) is frequently seen in patients with neurodegenerative diseases. It can also be seen in brainstem lesions involving the pons. However, RBD in patients with a pure pontine infarction has been rarely reported. A 68-year-old man had a two-month history of violent beha...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2007.12.002
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:The accuracy of respiratory polygraphy (RP) is limited because of the absence of electroencephalography (EEG). Pulse wave amplitude (PWA) reduction has been shown to be a marker of autonomic activation during arousal, and may represent a substitute for obstructive respiratory-related cortical arousal (RRCA)....
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.02.027
更新日期:2017-06-01 00:00:00
abstract::Sleep disturbances are common in extrapyramidal diseases, including not only insomnia but excessive daytime sleepiness and parasomnias. In particular, complaints related to sleep are extremely common among patients affected by Parkinson's disease (PD). The underlying causes may include: patient age, associated illness...
journal_title:Sleep medicine
pub_type: 杂志文章,评审
doi:10.1016/j.sleep.2003.10.012
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To estimate the prevalence of insomnia symptoms and syndrome in the general population, describe the types of self-help treatments and consultations initiated for insomnia, and examine help-seeking determinants. PATIENTS AND METHODS:A randomly selected sample of 2001 French-speaking adults from ...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2005.08.008
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:The aim was to study, with a developmental approach, the longitudinal association between night-waking from age 2 to 5-6 years and behavior at age 5-6 years. METHODS:Within the French birth cohort study Etude sur les Déterminants pré et post natals du développement et de la santé de l'ENfant (EDEN), repeated...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.10.008
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Obstructive sleep apnea (OSA) has been increasingly linked to elevated blood pressure (BP) and hypertension. Repeated night-time hypoxia in OSA is associated with activation of two critical mechanisms of BP control: the autonomic nervous system and the renin-angiotensin system (RAS). The effects of OSA on th...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.05.022
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Nocturnal eating behavior is shared by patients affected by a parasomnia, sleep-related eating disorder (SRED), and several eating disorders such as night eating syndrome (NES) and binge-eating disorder (BED); however, the differential clinical features of these patients have been poorly studied, with persist...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.12.020
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Nightmares are a highly prevalent and distressing feature of post-traumatic stress disorder (PTSD). Previous studies have reached mixed conclusions regarding the effects of prazosin on nightmares, sleep quality, and overall PTSD symptoms in patients with PTSD. METHODS:MEDLINE, EMBASE, all EBM databases, Psy...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.06.010
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:Studies investigating the effects of subthalamic deep-brain stimulation (DBS-STN) on restless legs syndrome (RLS) in Parkinson's disease (PD) are limited and report conflicting results, with some describing the emergence of RLS after DBS-STN, while others report postoperative improvement of this disorder. Sev...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.11.020
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine the association between sleep and subjective quality of life in an elderly Japanese population. METHODS:Elderly people aged 70 years or more (n=1,769) were selected randomly from all areas of Japan. They were visited and interviewed in November 2003. Subjective well-b...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2007.02.007
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:We aimed to investigate subjective sleep quality and polysomnographic sleep structure features in patients with vascular cognitive impairment-no dementia (VCIND). METHODS:Fifty-six patients with VCIND, 48 patients with simple stroke (without cognitive impairment), and 48 control subjects were included. The ...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2013.07.003
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:To evaluate cross-sectional and prospective associations between short and long sleep duration and depressive symptoms in older adults (aged >65 years). METHODS:The data from a subsample of the racially/ethnically diverse Northern Manhattan Study were analyzed. Depressive symptoms were assessed twice with t...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.09.019
更新日期:2017-12-01 00:00:00